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CH09208B ALLIANCE MEDICAL CENTER, INC. (Active)
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Main Details
Name
ALLIANCE MEDICAL CENTER, INC.
Subdivision Name
Windsor Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018781
340B ID
CH09208B
Grant Number
H80CS00249
Additional Details
Current Program Status
Active
Registration Date
2/28/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/7/2017
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Alliance Medical Center
Susannah Labbe, CEO
(707) 480-3898
Primary Contact
Alliance Medical Center
Amy G Fawcett, CFO
(949) 923-9545
Addresses
Street Address
8499 Old Redwood Hwy. STE 111 & 112
Windsor, CA 95492
Billing Address
Alliance Medical Center, Inc
1381 University Ave.
Healdsburg, CA 95448
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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